Individual
SARANG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-8028
(770) 906-5393
Mailing address
1945 SPRING MIST TER, LAWRENCEVILLE, GA 30043-6075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN711952
GA
163WC0200X
Critical Care Medicine Registered Nurse
RN711952
GA
163WN0002X
Neonatal Intensive Care Registered Nurse
RN711952
GA
163WS0121X
Plastic Surgery Registered Nurse
Primary
RN711952
GA
Other
Enumeration date
11/04/2025
Last updated
01/08/2026
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